Hazardous Waste Shipment Checklist

Uniform Hazardous Waste Manifest

  • Use a preprinted approved manifest form.

  • Provide site's Generator ID number (PRD987378437).

  • Provide emergency response number (i.e 800-424-9300).

  • Provide generator's name and mailing address;

    MSD International GmbH (Puerto Rico Branch) LLC
    PO BOX 6060
    Barceloneta, PR 00617

  • Provide generator's site address;

    PR-2 Km 60.3
    Arecibo, PR 00688

  • Provide transporter's name and EPA ID number.

  • Provide designated facility's name and EPA ID number.

  • Mark (X) each hazardous material shipped.

  • Use proper DOT Description, refer to Site's Waste List.

  • Number, quantity, and type of containers match physical inventory.

  • Provide units and waste codes, refer to Site's Waste List.

  • Provide special handling instructions, as necessary; ERG#, Seal#, Profile#, Truck#, Chemtrect contract#, etc.

  • Provide the Land Disposal Restriction form.

  • Provide a continuation sheet for overseas shipment.

Containers/Package

  • Containers are in good conditions (i.e. no dents, no leaks, not corroded).

  • Containers are labelled; use appropriate hazardous waste label and appropriate DOT markings.

  • Containers are braced in the trailer, as necessary.

Trailer

  • Trailer is in good conditions.

Transporter

  • I certify that I have the emergency response guide for each of the material included in this shipment and being provided with the corresponding placards.

    Certifico tener la guia de respuesta a emergencias para cada uno de los materiales en este embarque y de ser provisto de los placards correspondientes.

  • Add signature

Site Representative

  • Add signature

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